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Revue du rhumatisme
Volume 68, n° 1
pages 90-95 (janvier 2001)
Received : 16 August 2000 ;  accepted : 26 October 2000
Thrombose de la veine iliaque compliquant un syndrome SAPHO : aspects IRM et histologiques des lésions périvertébrales
Iliac vein thrombosis complicating SAPHO syndrome: MRI and histologic features of soft tissue lesions.

Nathalie  Legoupil 1 ,  Géraldine  Révelon 2 ,  Jérôme  Allain 3 ,  Marie-Catherine  Voisin 4 ,  Alain  Rahmouni 2 ,  Xavier  Chevalier 1 ,  Pascal  Claudepierre 1
1Service de rhumatologie, hôpital Henri-Mondor, 51, boulevard du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France 
2service de radiologie, hôpital Henri-Mondor, 51, boulevard du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France 
3service de chirurgie orthopédique, hôpital Henri-Mondor, 51, boulevard du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France 
4service de pathologie, hôpital Henri-Mondor, 51, boulevard du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France 

Correspondance et tirés à part
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Les obstructions des veines sous-clavière et cave supérieure compliquant un syndrome SAPHO (synovite, acné, pustulose, hyperostose, ostéite) ont déjà été décrites. Nous rapportons le premier cas à notre connaissance d'une thrombose de la veine iliaque compliquant une ostéite vertébrale lombaire entrant dans le cadre d'un syndrome SAPHO. L'IRM lombaire avait mis en évidence une importante masse tissulaire en avant des vertèbres atteintes, autour de la veine iliaque droite. L'histologie de cette masse a révélé une inflammation aseptique.

Mots clés  : IRM spondylite ; syndrome SAPHO ; thrombose veineuse.

Abstract

Subclavian and superior vena cava obstruction complicating SAPHO (Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis) syndrome has been described. We report the first case to our knowledge of iliac vein thrombosis complicating lumbar vertebral osteitis due to SAPHO syndrome. Lumbar MRI demonstrated a large tissue mass anterior to the involved vertebras and surrounding the right iliac vein. Histology of the mass showed aseptic inflammation.

Mots clés  : MRI spondylitis ; SAPHO syndrome ; venous thrombosis.




© 2001  Éditions scientifiques et médicales Elsevier SAS. All Rights Reserved.

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